<?php
header ( 'Content-Type:text/html; charset=UTF-8' );
?>
<div class="col-xs-4 col-xs-offset-4 zcym">
	<div class="panel panel-primary">
		<div class="panel-heading">
			<div class="panel-lilte">
				<span class="glyphicon glyphicon-edit"> <b>注册信息</b>
				</span>
			</div>
		</div>
		<div class="panel-body">
		<form class="form-horizontal" id="formzc">
			<div class="form-group">
				<label class="control-label col-xs-4">帐号:</label>
				<div class="col-xs-6">
					<input class="form-control"  placeholder="注册名"
						name="zcusername" />
				</div>
			</div>
			<div class="form-group">
				<label class="control-label col-xs-4">密码:</label>
				<div class="col-xs-6">
					<input class="form-control" required="required" placeholder="密码"
						name="zcpassword" id="zcpassword"/>
				</div>
			</div>
			<div class="form-group">
				<label class="control-label col-xs-4">确认密码:</label>
				<div class="col-xs-6">
					<input class="form-control" required="required" placeholder="确认密码"
						name="qrpassword" />
				</div>
			</div>
			<div class="form-group">
				<label class="control-label col-xs-4">手机:</label>
				<div class="col-xs-6">
					<input class="form-control" required="required" placeholder="手机号码"
						name="tel" />
				</div>
			</div>
			<div class="form-group">
				<label class="control-label col-xs-4">地址:</label>
				<div class="col-xs-6">
					<input class="form-control" placeholder="工作地址"
						name="dizhi" />
				</div>
			</div>
			<div class="form-group">
				<input class="btn btn-primary  col-xs-offset-4" id="zc"
					type="button" value="注册"/>
				<input class="btn tc" type="button" value="退出"/>
			</div>
		</form>
		</div>
	</div>
</div>

